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Individual

SAMANTHA A OSWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 325-9839
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 325-9839

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP60209043
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60209043
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063791374
WA
Enumeration date
08/04/2011
Last updated
02/04/2013
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